Jonathan H Bloch, DO | |
1733 Central Ave, Mckinleyville, CA 95519-3601 | |
(707) 839-2439 | |
Not Available |
Full Name | Jonathan H Bloch |
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Gender | Male |
Speciality | Family Medicine |
Location | 1733 Central Ave, Mckinleyville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073635967 | NPI | - | NPPES |
LICENSE | Other | CA | 20A17585 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20A17585 (California) | Primary |
Entity Name | Open Door Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890 |
Mailing Address | Practice Location Address |
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Jonathan H Bloch, DO 1275 8th St, Arcata, CA 95521-5770 Ph: (707) 839-3068 | Jonathan H Bloch, DO 1733 Central Ave, Mckinleyville, CA 95519-3601 Ph: (707) 839-2439 |
Nathan Ransom Copple, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 Phone: 707-839-3068 Fax: 707-839-3827 | |
Mrs. Tara Arness Vu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1644 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-3068 Fax: 707-839-3827 | |
Joseph Edgar Carroll, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1644 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-3068 Fax: 707-839-3827 | |
Dr. Casey Elizabeth Weiser, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1644 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-3068 |